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Carl Hart: Heroin, Cocaine, MDMA, Alcohol & the Role of Drugs in Society | Lex Fridman Podcast #233

Carl Hart: Heroin, Cocaine, MDMA, Alcohol & the Role of Drugs in Society | Lex Fridman Podcast #233

43 segments available

Carl Hart is a psychologist at Columbia University. Please support this podcast by checking out our sponsors: - InsideTracker: https://insidetracker.com/lex and use code Lex25 to get 25% off - Ten Thousand: https://www.tenthousand.cc/ and use code LEX to get 15% off - Four Sigmatic: https://foursigmatic.com/lex and use code LexPod to get up to 60% off - ExpressVPN: https://expressvpn.com/lexpod and use code LexPod to get 3 months free EPISODE LINKS: Carl's Twitter: https://twitter.com/drcarlhart Carl's Website: https://drcarlhart.com Drug Use for Grown-Ups (book): https://amzn.to/3lVpq2Y PODCAST INFO: Podcast website: https://lexfridman.com/podcast Apple Podcasts: https://apple.co/2lwqZIr Spotify: https://spoti.fi/2nEwCF8 RSS: https://lexfridman.com/feed/podcast/ Full episodes playlist: https://www.youtube.com/playlist?list=PLrAXtmErZgOdP_8GztsuKi9nrraNbKKp4 Clips playlist: https://www.youtube.com/playlist?list=PLrAXtmErZgOeciFP3CBCIEElOJeitOr41 OUTLINE: 0:00 - Introduction 1:53 - The experience of drugs 12:57 - Drug use for grownups 18:40 - Studies on drugs 19:50 - Negative effects of drugs 25:18 - Should all drugs be legalized 30:47 - War on drugs: positive or negative 36:39 - Proper, positive, and misuse of drugs 40:59 - Recovery 47:53 - Drug depiction in movies 51:24 - How the study of drugs changed Carl 53:48 - Formative memories 58:16 - Greatest hip hop artist of all time 1:01:38 - What mind altering drugs teach us 1:05:45 - Advice for young people 1:07:51 - The meaning of life SOCIAL: - Twitter: https://twitter.com/lexfridman - LinkedIn: https://www.linkedin.com/in/lexfridman - Facebook: https://www.facebook.com/lexfridman - Instagram: https://www.instagram.com/lexfridman - Medium: https://medium.com/@lexfridman - Reddit: https://reddit.com/r/lexfridman - Support on Patreon: https://www.patreon.com/lexfridman

Segments Timeline

1
0:00 - 1:02
1:02 duration162 words

Challenging Drug Perceptions

Carl Hart, a psychologist at Columbia University, discusses his book 'Drug Use for Grown-Ups' and the need for empirical evidence to guide drug policy. He argues that addiction is more about underlying psychiatric disorders and socioeconomic factors than the drugs themselves. Hart advocates for the legalization of all drugs, emphasizing the importance of responsible use in a safe environment.

"the following is a conversation with carl hart department chair and professor of psychology at columbia university he's the author of several books on the topic of drugs including his most recent call..."

2
1:02 - 2:01
0:59 duration160 words

The Experience of Taking Heroin

In this segment, Carl Hart shares his personal experiences with various drugs, including heroin and MDMA. He compares the experience of drug use to having an orgasm, emphasizing the subjective nature of these experiences. Hart highlights the importance of context and environment in shaping the effects of drugs, challenging the notion that biology alone determines drug experiences.

"his ideas are controversial but are fundamentally grounded in empirical data and rigorous scientific studies i don't know if his conclusions are right but they are at least worth thinking about so i a..."

3
2:01 - 3:02
1:00 duration181 words

The Role of Environment in Drug Effects

Carl Hart elaborates on how the environment influences drug experiences. He explains that the context in which drugs are taken, including the company one keeps and personal circumstances, significantly affects whether the experience is positive or negative. Hart stresses that understanding drug effects requires considering both biological and environmental factors.

"ask what is the experience of taking heroin like what happens to the body what happens to the mind when you take it well you know i take mdma cannabis and all the rest of these drugs too i've tried th..."

4
3:02 - 4:04
1:02 duration205 words

Anxiety and Drug Use

Hart discusses the critical role of anxiety in drug experiences. He explains that many negative effects associated with drug use stem from situational anxiety rather than the drugs themselves. By addressing anxiety and ensuring a safe, informed environment, individuals can enhance their likelihood of having positive drug experiences.

"this is a mistake that people make all the time they try to act as if biology is the only determinant of drug effects and that's just not how it works uh you need the environment you need the cage as ..."

5
4:04 - 5:14
1:09 duration204 words

Media Misrepresentation of Drugs

In this segment, Carl Hart critiques the media's portrayal of drugs, arguing that sensationalized reporting on negative effects overshadows the positive aspects of drug use. He highlights how fear-based narratives dominate public discourse, leading to misconceptions about drugs and their effects on individuals and society.

"about it so we can talk about opioids and then we can talk about endogenous opioid system in the brain we can talk about dopamine and other sort of monoamine transmitters and and what uh opioids are d..."

6
5:14 - 6:36
1:22 duration239 words

The Complexity of Drug Narratives

Hart reflects on the oversimplified narratives surrounding drug use in popular culture, particularly in films and television. He points out the lack of nuanced portrayals of drug users and the tendency to demonize drug use while glorifying violent characters. This segment emphasizes the need for more balanced and realistic representations of drug experiences.

"landscape of experiences that contribute to how you actually feel when you take a drug right on so all of those things are important but you know like if someone had trauma in childhood and they did t..."

7
6:36 - 7:51
1:15 duration195 words

Positive Effects of Drug Use

Carl Hart discusses the positive effects reported by drug users, including feelings of empathy, euphoria, and enhanced social interactions. He challenges the stigma surrounding drugs like cocaine and heroin, arguing that many users report beneficial experiences when conditions are right. This segment highlights the need for a shift in public perception regarding drug use.

"i just enjoy that moment i'm there i'm not thinking about a bill that i didn't paid i'm not thinking about oh i forgot to do this for my kid i'm not thinking about that because all of those things are..."

8
7:51 - 9:29
1:37 duration273 words

Harnessing Positive Drug Effects

In this segment, Hart outlines how individuals can maximize the positive effects of drugs. He emphasizes the importance of being responsible, understanding the substances being used, and creating a supportive environment. Hart argues that reducing anxiety and ensuring proper conditions can lead to more enjoyable and meaningful drug experiences.

"i had been indoctrinated to be biased toward the negative effects of drug use but over the past two plus decades i had gained a deeper more nuanced understanding these words are very counterintuitive ..."

9
9:29 - 10:50
1:20 duration214 words

The Financial Incentives of Negative Reporting

Hart explains the financial motivations behind negative media portrayals of drug use. He argues that sensational stories about drug crises attract more attention and revenue, leading to a skewed public understanding of drug-related issues. This segment critiques the media's role in perpetuating fear and misinformation about drugs.

"will have a better time so anxiety is the big one you need to remove the anxiety anxiety is critical it's huge many of the negative effects that we see with drugs have to do with anxiety and not neces..."

10
10:50 - 12:48
1:58 duration306 words

Cultural Narratives and Drug Users

In this segment, Hart discusses the cultural narratives that shape perceptions of drug users. He critiques the tendency to sympathize with violent characters while demonizing drug users, highlighting the inconsistency in societal attitudes. Hart calls for more authentic stories that reflect the complexities of drug use and the people who engage with it.

"about people who write tv shows um the people who write movies uh most of the stuff written by drugs is just bullshit um i think about i love going to watch comedians and the comedians when they talk ..."

11
12:48 - 14:32
1:44 duration278 words

Maturity and Responsible Drug Use

Hart concludes by discussing the importance of maturity and responsibility in drug use. He emphasizes that adults who engage with drugs should do so with a developed sense of self and responsibility. This segment advocates for a more informed and balanced approach to drug use, encouraging open discussions about the experiences of grown-ups with drugs.

"damnit everything that's in film on television and it's like what's wrong with you people so why aren't there not more stories of grown-ups using drugs the full spectrum of drugs that we're talking ab..."

12
14:45 - 16:01
1:16 duration214 words

Joe Rogan's Cannabis Experience

Hart discusses Joe Rogan's late-in-life experience with cannabis, noting how it enhanced his productivity. He reflects on the societal fear surrounding drug use and the stigma that prevents adults from sharing their positive experiences with substances like cannabis, advocating for a more open dialogue about responsible drug use.

"good thing so how are you supposed to like somebody like me somebody like joe how are you supposed to understand what the dangers are what the negative effects are so you said automobile relationships..."

13
16:01 - 17:06
1:05 duration189 words

The Importance of Maturity in Drug Use

Carl Hart emphasizes the significance of maturity when engaging with drugs, arguing that responsible use can lead to positive experiences. He draws parallels between drug use and other adult responsibilities, advocating for a nuanced understanding of drug effects and the importance of education in mitigating risks.

"more and more you're starting to get a lot of stories on uh sec of the psychedelics of different kinds there's um psilocybin where you have uh mushrooms or even mdma used sort of positively there's ki..."

14
17:06 - 18:03
0:57 duration151 words

Debunking Drug Myths

Hart challenges common myths about drug use, particularly the fairy tales surrounding addiction and negative effects. He argues that societal narratives often misrepresent the realities of drug use, advocating for a more evidence-based approach to understanding the effects of various substances.

"what these stories are they're in the same vein as those kind of stories as pinocchio um you know like you said when you were learning about alcohol you were told what to do what not to do so forth th..."

15
18:03 - 19:31
1:28 duration227 words

Scientific Understanding of Drug Effects

In this segment, Hart discusses the scientific research conducted on various drugs, including their positive and negative effects. He highlights the importance of empirical data in shaping public understanding and policy regarding drug use, emphasizing that many drugs are safe when used responsibly.

"saying it's there in the literature i mean at a place like columbia we give these drugs thousands of doses every year do you think we would be doing this and we do this with research grants that's pub..."

16
19:31 - 21:01
1:30 duration246 words

Understanding Drug Withdrawal and Health Risks

Hart explains the withdrawal symptoms associated with different drugs, particularly focusing on heroin and alcohol. He discusses the often-overlooked health risks of drug use, such as constipation from heroin, and stresses the need for a more comprehensive understanding of drug effects beyond addiction.

"collecting the data we're collecting the data it to help us with treatment if someone is having problems with these data hopefully we'll uh understand more about the how to help them deal with their p..."

17
21:01 - 23:00
1:59 duration313 words

The Role of Environment in Addiction

Carl Hart argues that addiction is more influenced by psychosocial factors than the drugs themselves. He discusses how societal pressures and personal circumstances can lead to drug-related problems, advocating for a broader understanding of addiction that considers environmental influences.

"that really concerns me about like heroin use really is constipation so if people uh are using uh heroin on a regular basis and then they have a sort of slowing of their gut motility they're in they'r..."

18
23:00 - 24:10
1:10 duration197 words

Challenging the Narrative on Drug Use

Hart critiques the prevailing narratives surrounding drug use and addiction, emphasizing the lack of scientific evidence supporting common beliefs. He calls for a shift in perspective, urging society to rely on data rather than anecdotal evidence when discussing the impacts of drug use.

"not so much the environment but there are people who for example they have chronic unrealistic expectations heaped on them and those people are more likely to have some problems with drugs there are p..."

19
24:10 - 25:02
0:52 duration170 words

The Case for Drug Legalization

In this segment, Hart advocates for the legalization and regulation of drugs, arguing that responsible access can enhance safety and minimize harm. He draws parallels with alcohol regulation, suggesting that similar approaches could be applied to other substances to promote responsible use.

"problem see i'm operating from limited personal evidence well this is a problem though but we have a scientific database yeah we don't need personal evidence for this we have in my book i try to go th..."

20
25:18 - 26:41
1:23 duration212 words

Legalization of Drugs: A Responsible Approach

Hart argues for the legalization and regulation of drugs like cannabis, MDMA, cocaine, and heroin for adults. He discusses the importance of establishing age and safety regulations similar to those for alcohol, highlighting the potential for harm reduction through responsible access.

"let me ask you the question of legalization so should in your view all drugs be legalized the drugs that people seek certainly should be legally regulated and available to adults so when i say the dru..."

21
26:41 - 28:32
1:51 duration325 words

Educating for Safe Drug Use

In this segment, Hart stresses the need for proper education regarding drug use. He explains how understanding the effects of stimulants like cocaine can help individuals use them safely, emphasizing the importance of timing and nutrition in relation to drug consumption.

"that you have in each unit um all can minimize harm based on how you do these things and we can do that we have the technology we have the know-how so you're actually making me think about alcohol a l..."

22
28:32 - 30:29
1:56 duration307 words

Freedom and Responsibility in Drug Use

Hart discusses the balance between personal freedom and societal responsibility regarding drug use. He argues that individuals should have the right to make choices about their drug use while also being accountable for the impact of those choices on others.

"throw people in a while that's stupid i gotta tell you i mean for me and even given your book and for people listening to this it's still it's still tough to hear that the thing we should be concerned..."

23
30:29 - 32:05
1:36 duration232 words

The War on Drugs: Beneficiaries and Victims

Hart critiques the war on drugs, pointing out that it has disproportionately benefited law enforcement, media, and treatment industries while harming society at large. He highlights the financial incentives that perpetuate the drug war and calls for a reevaluation of its impact.

"book i am uh responsible to you um as a citizen um and we're in this together and i tried to make that point in the book and people have conveniently ignored things like that do you think the war on d..."

24
32:05 - 33:12
1:06 duration188 words

A Vision for Drug Policy Reform

Hart outlines his vision for drug policy reform, advocating for the decriminalization of drug use and the establishment of a legal framework for responsible adult access to drugs. He emphasizes the need for educational systems to accompany these changes.

"so many questions i want to ask you because you're challenging a lot of beliefs that people have about drugs about society in general so it's difficult for me to ask the right questions here but if yo..."

25
33:12 - 34:50
1:37 duration275 words

The Dual Nature of Drugs

In this segment, Hart reflects on the dual nature of drugs, acknowledging both their potential benefits and harms. He shares personal insights on how certain drugs can be more beneficial than the stressors of life, challenging conventional narratives about drug use.

"yeah the the arresting for drug use or anything drug related is absurd especially in the context of how destructive alcohol is and tobacco alcohol can be destructive to some people but alcohol also is..."

26
34:50 - 36:12
1:22 duration223 words

Addressing Criticism of Drug Use Perspectives

Hart addresses criticisms of his views on drug use, acknowledging the potential negative effects while asserting that the benefits often outweigh the harms. He advocates for a balanced perspective that includes education on minimizing risks associated with drug use.

"that too obviously that's why i'm out here and putting subjecting myself to this sort of criticism and so forth but because i believe that truth ultimately wins out but i might be wrong but uh i have ..."

27
36:12 - 38:36
2:23 duration375 words

Understanding Opioids vs. Benzodiazepines

Hart discusses the differences between opioids and benzodiazepines, particularly in terms of misuse and withdrawal. He emphasizes the importance of understanding the risks associated with these substances and the need for standardized protocols for safe use and withdrawal.

"this sort of approach that we have where we say we're only exclusively presenting the harmful effects and that should make people keep people safe i just have a problem with that but i i certainly i i..."

28
39:02 - 40:19
1:17 duration200 words

Challenges in Addiction Treatment

Hart discusses the challenges faced in addiction treatment, particularly the variability in approaches and the inadequacies of some treatment methods. He emphasizes the need for scientifically backed protocols and critiques the societal tendency to oversimplify addiction as a moral failing.

"are rubbish what uh can you just elaborate like technically what the term addiction means that you're referring to when i use the term addiction i'm referring to the diagnostics this statistical manua..."

29
40:19 - 41:30
1:10 duration175 words

The Role of Alcoholics Anonymous

Hart shares his perspective on Alcoholics Anonymous (AA), noting its strengths in providing social support but questioning its effectiveness as a treatment for addiction. He argues that while AA offers community, it lacks a scientific basis for addressing the complexities of drug-related issues.

"we all are speaking the same language we're not saying that simply because this person used heroin they are an addict that's not what we're saying you have to meet these criteria where you have disrup..."

30
41:30 - 42:57
1:26 duration219 words

Social Environment and Drug Use

In this segment, Hart discusses how social environments impact drug use and addiction. He argues that many problems associated with drug use stem from environmental factors rather than the substances themselves, highlighting the importance of context in understanding drug-related behaviors.

"from your understanding as a scientist from your understanding is a human who studies human nature why does it take so long to treat to to to deal with that uh addiction well you you cited alcohol ano..."

31
42:57 - 44:55
1:58 duration307 words

Psychedelics vs. Traditional Drugs

Hart contrasts the experiences provided by psychedelics like ayahuasca and psilocybin with traditional drugs such as heroin and cocaine. He argues for the potential therapeutic benefits of all substances, suggesting that the context of use can significantly alter the experience and outcomes.

"no disrespect to aaa because i think what they do is a lot more than what some people do because at least they have the social these social interactions you have a social group um that's better than w..."

32
44:55 - 50:52
5:56 duration943 words

Cinematic Depictions of Drugs

Hart critiques the portrayal of drugs in popular films, discussing how movies like 'The Godfather' and 'Scarface' contribute to negative stereotypes about drug users. He calls for a more honest representation of drug use and its complexities, urging writers to reflect reality rather than perpetuate harmful narratives.

"that and that's absolutely fantastic um all i argue is that um if that kind of thing happens for you with ayahuasca facili with psilocybin with some other psychedelic why isn't it possible that heroin..."

33
51:30 - 53:00
1:30 duration241 words

Understanding Human Connection Through Drug Use

In this segment, Hart shares insights on how drug use and the study of drugs have shaped his understanding of human experiences. He draws parallels between communities suffering from neglect and the scapegoating of drugs, highlighting the need for empathy and understanding in addressing societal issues.

"with what you find or what you find will do to you so let me ask how has drug use or the study of drugs change you as a human being uh it just helped me think about other people's experience right so ..."

34
53:00 - 54:30
1:30 duration203 words

Lessons from Personal Experience

Hart reflects on formative memories from his childhood, particularly the influence of his grandmother. He discusses the importance of critical thinking and self-sufficiency, and how these lessons relate to broader societal issues, including drug use and community well-being.

"feel so strongly about this thing because i know there are people getting paid and their paycheck is predicated on subjugating and the suffering of those other people so when we hear about the destruc..."

35
54:30 - 56:00
1:30 duration238 words

The Courage to Challenge Norms

Hart talks about the courage it takes to challenge conventional wisdom regarding drugs and societal norms. He emphasizes the importance of honesty and self-reflection in advocating for change, and how this can inspire others to speak out in their own fields.

"that's what this whole drug thing is about it's the okie doke people um it really boils down to just simple thing we're all similar in that we're all just trying to live our life trying to take care o..."

36
56:00 - 57:30
1:30 duration213 words

The Optimistic Potential of Drug Use

In this segment, Hart discusses the positive aspects of mind-altering drugs and their potential to elevate the human spirit. He argues that rather than vilifying drug use, society should recognize its capacity to foster connection and understanding among individuals.

"have to face myself have i lived honestly and if i can't face myself then uh what am i doing here um you know that's how i i see it one of the things that people don't really talk about with drugs and..."

37
57:30 - 1:01:00
3:30 duration585 words

Insights on the Human Mind from Drug Studies

Hart shares insights gained from studying drugs and their effects on the human mind. He discusses how his research has informed his understanding of empathy, forgiveness, and the potential for societal improvement through a more compassionate approach to drug use.

"the fact that drugs are used as scapegoat to uh to not alleviate the suffering of certain communities so those two those two things come up one one of the sort of main points of the book two was to tr..."

38
1:01:00 - 1:02:30
1:30 duration239 words

The Evolution of Hip-Hop and Drug Narratives

Hart reflects on the evolution of hip-hop and its relationship with drug narratives. He mentions influential artists and how their perspectives on drugs have changed over time, highlighting the need for a more nuanced understanding of drug culture within the genre.

"told to do and i was ignorant and and thought i was doing the right thing and i did what i was told to do and so just like these guys are doing what they're told to do but no i my real beef is with th..."

39
1:02:30 - 1:03:30
1:00 duration127 words

The Role of Drugs in Society

In this concluding segment, Hart discusses the broader implications of drug use in society. He emphasizes the need for a shift in perspective, advocating for a more compassionate and understanding approach to drug-related issues, rather than punitive measures.

"a wide range of other sort of how neural transmission happens because of drugs and so that's a really valuable tool lessons for me uh but then when we think that we uh move out a bit and we think more..."

40
1:03:30 - 1:05:00
1:30 duration259 words

The Role of Drugs in Understanding Consciousness

In this segment, Hart explores the potential of drugs as tools for understanding consciousness and human experience. He critiques societal stigma around drug use and advocates for a more open dialogue about their benefits, emphasizing the need for scientific exploration to better understand ourselves and our consciousness.

"your body like they help you evaluate yourself from like a third person perspective it's almost like you have a consciousness in here and you get to step outside of it a little bit i mean that's kind ..."

41
1:05:00 - 1:06:30
1:30 duration238 words

Advice for Young People: Know Your Craft

Carl Hart offers advice to young individuals about pursuing their careers with dedication and expertise. He stresses the importance of mastering one's craft to serve society effectively and warns against the prevalence of individuals in power who lack genuine knowledge and commitment to their fields.

"it's sad and people know this a lot of middle to upper class people know this the illicit drug trade business is a multi-million dollar industry multi-billion dollar industry that could not be support..."

42
1:06:30 - 1:08:00
1:30 duration231 words

Finding Meaning in Life

Hart reflects on the meaning of life and the pursuit of happiness. He shares his personal experiences and the joy he finds in life, emphasizing the importance of enjoying life while also engaging in the fight for societal change. He discusses the balance between personal happiness and the challenges of advocating for a better society.

"who know absolutely so that's the main thing that i would encourage people to do really know your craft if you know your craft um and then maybe you will be a service to your fellow citizens there are..."

43
1:08:00 - 1:10:00
2:00 duration330 words

The Joy of Connection and Freedom

In this concluding segment, Hart discusses the sources of joy in his life, including meaningful relationships and experiences with drugs in a safe environment. He expresses gratitude for the opportunity to engage in conversations that challenge societal norms and promote understanding, leaving listeners with a thought-provoking quote about drug use and behavior.

"i'm sorry i certainly hope it has meaning i mean i'm i'm certainly trying to live mind like it has meaning you know um i really love my life now i just got back from geneva um i spent the summer abroa..."